Derry Holland, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC01304100 Issued in NJ

Practice address

770 Woodlane Rd
Suite 41
Westampton, NJ 08060-3804

Phone

(609) 702-0625

Fax

(609) 702-0491

NPI assigned

Jun 7, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1962605949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DEVON RD",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773812",
            "telephone_number": "609-502-6193",
            "fax_number": "609-702-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WOODLANE RD",
            "address_2": "SUITE 41",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080603804",
            "telephone_number": "609-702-0625",
            "fax_number": "609-702-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "DERRY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01304100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SW",
            "identifier": "44SC01304100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy Hocker
• Love Hodge
• Starsha Hodges
• Alexis Hoinkis
• Kyla Hoinkis
• Edward Holland, MBA
• Elayne Holland
• Nichole Holland
• Azah Holley
• Te'Aire Holley

• Clinical Social Worker in Westampton, NJ
• Providers in Westampton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.